Testicular Examination and Testicular Self-Examination (TSE)

Test Overview

Testicular examination and testicular self-examination (TSE) are two different methods to detect lumps or abnormalities of the testicles.

The two testicles, or testes, are inside the scrotum. The testicles are the male reproductive organs that produce sperm and the male hormone testosterone. Each testicle is approximately the size and shape of a small egg. At the back of each testicle is the epididymis, a coiled tube that collects and stores sperm.

The testicles develop within the abdomen of a male baby (fetus) and normally descend into the scrotum before or shortly after birth. A testicle that has not descended can increase the risk for testicular cancer.

Testicular examination

A testicular examination includes a complete physical examination of the groin and genital organs (penis, scrotum, and testicles) by your health professional. Your health professional will feel (palpate) the organs and examine them for the presence of lumps, swelling, shrinking (testicular atrophy), or other visual signs of an abnormality. A testicular examination can detect the causes of pain, inflammation, swelling, congenital abnormalities (such as an absent or undescended testicle), and lumps or masses that may indicate testicular cancer.

An examination of the genitals is an important part of a routine physical examination for every boy and man, regardless of age. Male babies should also have their genitals examined for congenital abnormalities or an undescended testicle. An undescended testicle is more common in premature male babies than in full-term male babies.

Regular testicular examination is recommended for men between the ages of 15 and 40 to detect testicular cancer in its early stages. Testicular cancer is one of the most common cancers in men younger than age 35. Many testicular cancers are first discovered by men themselves, or by their sex partners, as a lump or enlarged swollen testicle. In the early stages of testicular cancer, the lump, which may be about the size of a pea, usually is not painful. Testicular cancer found early and treated promptly has a very high cure rate.

Testicular self-examination (TSE)

Testicular self-examination (TSE) may detect testicular cancer at an early stage. Many testicular cancers are first discovered by self-examination as a painless lump or an enlarged testicle.

Some health professionals recommend that men between the ages of 15 and 40 perform monthly testicular self-examination. However, this is controversial. Many health professionals do not believe monthly TSE is necessary for men at average risk of developing testicular cancer. Monthly TSE may be recommended for men at high risk of developing testicular cancer. This includes men with a history of an undescended testicle or a family or personal history of testicular cancer.

Many testicular lumps are cancerous and require immediate treatment. Usually, the affected testicle is removed by surgery. In some cases, the lymph nodes may also be removed, and chemotherapy or radiation therapy may be given. An artificial testicle may be inserted into the scrotum to provide a normal appearance. Since one normal testicle remains, a man's sexual and reproductive functions usually are not affected.

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Author:	Maria G. Essig, MS, ELS	Last Updated February 20, 2007
Medical Review:	Martin Gabica, MD - Family Medicine Avery L. Seifert, MD - Urology
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